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http://hdl.handle.net/1843/81934
Type: | Artigo de Periódico |
Title: | Direct oral anticoagulants in oral surgery: a prospective cohort |
Authors: | Amanda Leal Rocha Sicilia Rezende de Oliveira Alessandra Figueiredo de Souza Denise Vieira Travassos Lucas Guimarães Abreu Daniel Dias Ribeiro Tarcília Aparecida da Silva |
Abstract: | BACKGROUND: Quantitative assessment of bleeding in dental extractions is rarely reported in the literature. The assessment of bleeding might provide additional evidence to predict and minimize postoperative outcomes. The aim of this study was to evaluate the pattern of bleeding in individuals taking direct oral anticoagulants (DOACs) submitted to dental extractions. METHODS: Intraoperative bleeding was evaluated by using total collected bleeding corrected by absorbance reading (dental bleeding score). To monitoring bleeding episodes from the day of surgery, this cohort was followed up until the seventh postoperative day. RESULTS: Forty-five procedures were performed in three comparative groups, patients under DOACs, individuals taking vitamin K antagonists (VKAs) and without anticoagulant therapy. No bleeding events were observed in procedures carried out in individuals of the DOAC group. Additional hemostatic measures were required in two procedures in the VKA group and one in the non-anticoagulated group. The dental bleeding scores obtained for the DOAC and VKA groups were similar. CONCLUSIONS: Our data suggest that the DOAC therapy did not result in increased bleeding outcomes in this sample. |
Subject: | Hemorrhage Anticoagulants Oral surgical procedures Tooth extraction Postoperative hemorrhage Evaluation study |
language: | eng |
metadata.dc.publisher.country: | Brasil |
Publisher: | Universidade Federal de Minas Gerais |
Publisher Initials: | UFMG |
metadata.dc.publisher.department: | FAO - DEPARTAMENTO DE CLÍNICA FAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA FAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA MEDICINA - FACULDADE DE MEDICINA |
Rights: | Acesso Restrito |
metadata.dc.identifier.doi: | https://doi.org/10.23736/S0026-4970.20.04389-7 |
URI: | http://hdl.handle.net/1843/81934 |
Issue Date: | Dec-2020 |
metadata.dc.url.externa: | https://pubmed.ncbi.nlm.nih.gov/32698567/ |
metadata.dc.relation.ispartof: | Edizioni minerva medica |
Appears in Collections: | Artigo de Periódico |
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